NPIMap

Organization Active NPI

Rebound Physical Therapy Center PC

  • Clinic/Center
  • Rockford, IL
National Provider Identifier
1710099270
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
REBOUND PHYSICAL THERAPY CENTER PC
Practice address
3616 N Main St
Rockford, IL 61103-2159
Phone
(815) 877-5932
Fax
(815) 877-6302
NPI assigned
Aug 31, 2006
Last updated
Mar 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
K. Mark Fischer, D.O., L.P.T.NPI 1730269820
Title
President
Phone
(815) 877-5932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X IL Primary

Addresses

Primary practice location

3616 N Main St
Rockford, IL 61103-2159

Mailing address

3616 N Main St
Rockford, IL 61103-2159
Phone (815) 877-5932

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2799 Momentum Pl
Chicago, IL 60689

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1710099270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 N MAIN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611032159",
            "telephone_number": "815-877-5932",
            "fax_number": "815-877-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 N MAIN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611032159",
            "telephone_number": "815-877-5932",
            "fax_number": "815-877-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND PHYSICAL THERAPY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "K.",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-877-5932",
        "authorized_official_credential": "D.O., L.P.T."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.